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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00464 DEVELOPMENT SERVICES DATE ISSUED: 8/17/2006 i l l l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600-00300 SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT : JURISDICTION: TIG Project Description: (5) branch circuits for T.I. Job # 1372. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: WASHINGTON SQUARE LLC GEORGE + SONS ELECTRIC CORP BY THE MACERICH COMPANY PO BOX 339 9585 SW WASHINGTON SQUARE RD CLACKAMAS, OR 97015 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 654 - 8634 FAX 503 - 653 -6886 FEES Description Date Amount Reg #: ELE 3 -117C [ELPRMT] ELC Permit 8/17/2006 $73.45 LIC 35600 [TAX] 8% State Surcharge 8/17/2006 $5.88 SUP 31855 Total $79.33 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: / / � LC�T a Permittee Signature: Du_ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 08- '17/2006 15L13 503 - 6886 GEORGE & SONS ELECTR PAGE 02 Electrical Permit Application Line; L �® 1 1 ,1( i ,1 11, I i , i , ,\1 City of Ilga d jilt Reaoived _ • pam>t Ito, /, q7�2� DatolB • o r '� .. G' I , / 1 • 13125 SW 1411! Blvd, Tigard, OR r � ► 06 Pin Review Other Pee+nit Phone: 503.639.4171 Fax: 503,398.1g6p 1' 1 2U , ... , pDate/fly: InspecInspection 503.639.4175 NU G :- .!..!4 • J l j Date Ready/BY: Jwb• m Sea Page 1 for Inter mc. i.ti�lyd.or.us a y OF TIGAR :: Notified/Method T I U __ Sapplaseaat Information ,.; r, il'? ifN:'llti.'O f , ,1r.n►riw air i,ra;ti'• all that apply: O New construction -1 Addition/alteration/replacement Please check ❑Service over 225 amps, oormn'I ❑Harardoos location ❑ Demolition • Other: A ❑Service over 320 amps- waling ❑ Bulking over 10.000 sq. ft., i , 4:. 1111, fa�Pl . ' ' ,, .' , e' a r 1 ! •L . 4 : of 1- and 2 -Ihmi ly dwellings 4 or more new raidelni ., ,1 r', {Isi� i : :no��rrrr.w � . . ! �iW� :• : : _ . : . •' - •• � !WS 111 One StrllCtllte 1 - a nd 2 dwelling -i Comm ercial /industrial El Accessory building ❑System over 600 wits nominal ❑ y g ❑Building over three stories ❑Feeders, 400 amps or more ❑ Mu1ti -f intily • Master builder 0 Other: ['Occupant load over 99 persons :Manufactured strueurres or `' ',.: . ' , rilifi :. i> i. ;: ? ' '; ra+4,1,, 4 n ;i., ❑Egress/lighting plan RV park •t . c ..0 ;4 1.ie y is o &Jd}m illia �l r.... !W I. ❑Health-care facility ['Other. Job no.: 1372 Job site address: 9100 SW Washington Square Rd Submit 2 sets of plans with any of the above City/State/ZIP: Tigard, Oregon The above are not applicable to temporary construction service. Project name: Nordstom's Songless Dept. " ` /apt no.: l Pros td P oecripNa Suite/bldg./apt i Tow j •" Cross street/directions to job site: Inside Washington Square Mall, Nordatoms New residential single- or molts family dwelling raft. — Includes attached garage. 1,000 sq. ft. or less I 145,15 4 Subdivision: Lot no.: Ea. addi 500 sq. ft. or portion 33.40 I Limited energy, residential 75.00 2 , Tax trap /parcel no.: Limited energy, non - residential 75 00 2 .,wm.nnrny������M t'•'•' r_f :I, ' niw ]iBii lnri,ui�MfYMm n+ aary71I — Each manufactured or modular Demo some existing wiring, lnatiH new lights, backup lights, exit signs, and power dwelling, service and/or feeder 90.90 2 ,, services or feeders Installation, alteration, sod/or relocation for a remodel of the songlrs, department inside Nordstrom.. 200 amps or less 80.3 . 2 ' :I �+^+ , r 201 amps to 400 amps 106.85 2 '' t ' . . ; . 1 a 1 •� .NA}irl _ 2 i i' .;fg�„r ,wi ` i6'w. 401 amps to 600 amps 160.60 Name: Nordstrom. 601 amps to 1,000 amps _ 240.60 2 Address: Over 1,000 amps or volts 454.65 2 , Reconnect only 66.85 2 City /State/ZIP: Temporary services or feeders installation, alteration. and/or relocation Phone: ( ) ,Fax: ( ) 200 amps or less 1 66.85 1 I Owner installation: This instaliation is being made on property that I own which is not 201 an to 400 snips 100.30 2 intended for sale, lease, rent, or exchange. according to ORS 447. 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: - _ Branch circuits - new. alteration, or extension. per panel S n ° di LZ 4 ��. i;�„ . + I i i., I .+ T , . A. Fee for branch circuits with :' :.., service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact nafne: without service or feeder fee, first branch circuit I 46.85 figr 2 Address: Each edd't branch circuit 7 6.65 a g, 0 2 City /State/ZIP: Miscellaneous (service or feeder not Included) Phone: ( ) ( ( ) - Pump or irrigation circle 53.40 2 J Fax: ' Sign or outline lighting 53.40 2 - E -mail: Signal circuits) or limited - Vi „ iir'..1 + ' r' ,14;: energy panel, alteration, or • extension. Describe: Page 2 2 Business name: George and Son's Electric Address : PO Box 339 _ Each additional Inspection over allowable in any of the above Per inspection 62.50 , City / State/ZIP: Clackamas, Oregon 97015 Investigation per hour (I hr min) 62.50 Phone: (503) 654.8634 f Fax: (503) 653 -6886 Industrial plant pper hour �. • 73.75 • - • in *w.+�li� e - :r ..,• . CCB Lic.: 35600 1 Electrical Li . 3i . 3 -117C S Lic.: 31855 ' Subtotal 73. n Suprv. Electrician signature, required: " / _ Plan review (25% of permit fee) .• Print name: t i11 Date: 8/17/06 State surcharge (8% of permit fee) 9 TOTAL PERMIT FEE 79 " 23 Authorized signature: Thu permit appilcadon expires ifs permit is not obtained within led dare after it Me been accepted as complete Print name: I Date: • Fe methodology set by Tr+- County BuItdmg industry Service Board "• Number of inspections per permit allowed. 1 :1sufdlep'arm aLC.P,ee.iteepdoc 11e03. 440- 46131110/02ICOMnvtB 7 CITY OF TIGARD A .. BUILDING DIVISION PERMIT #: ELC2006 -00464 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006 Phone: (503) 639 -4171 I(I Inspection Requests (24 Hrs.): (503) 639 -4175 F_ .. INSPECTION WORKSHEET FOR DATE: 9/2772006 TIME: 7 :02AM PAGE: 44 SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: NORDSTROM SUNGLASS SHOP DESCRIPTION: (5) branch circuits for T.I. Job # 1372. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503-654-8634 Inspection Request Scheduled For: Date: 9/22/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 037022 -01 503- 654 -8634 Y • Corrections /Comments /Instructions: X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N L- - Date: q[7: Phone #: (503) 718- 1#1‘____— CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2006.00464 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006 Phone: (503) 639 - 4171 , 1 (LL Inspection Requests (24 Hrs.): (503) 639 -4175 •!. �' L. INSPECTION WORKSHEET FOR DATE: 9/12/2006 TIME: 7 PAGE: 50 SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD NORDS CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: NORDSTROM SUNGLASS SHOP DESCRIPTION: (5) branch circuits for T.I. Job # 1372. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503-654-8634 Inspection Request Scheduled For: Date: 9//2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 036359 -01 503 - 654 -8634 Y Corrections /Comments /Instructions: ispe(tov4 iM Fesz. ..:It•m vtt:Ty vez cAL. 6 tt•i-t • ilw 6`( b6 I A r 0 A n11J \MAK . !) ∎ 2OV#L. r%a., Q chtrIra b latJ - V Ck■ d4, o C4J � .;�, 4 A . i - - IDAs ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: , 1\166 Li Date: 41 Phone #: (503) 718- 1.414 CITY OF TIGARD - BUILDING DIVISION - PERMIT #: ELC2006 -00464 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2006 Phone: (503) 639 -4171 A il Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/2512006 TIME: 7 :16AM PAGE: 26 SITE ADDRESS: 09700 SW WASHINGTON SQUARE RD WORDS CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: NORDSTROM SUNGLASS SHOP DESCRIPTION: (5) branch circuits for T.I. Job # 1372. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: GEORGE + SONS ELECTRIC CORP PHONE #: 503-654-8634 Inspection Request Scheduled For: Date: 8/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground/slab cover 06.010:-654 -8634 N i 215 wAt.i. caves Corrections/Comments/Instructions: 1 $ 1 , 1 ), PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G' , VUB Lc, Date: $'� ert) Phone #: (503) 718- 24o • _ .. .